Review
Left ventricular free wall rupture: clinical presentation and management
J Figueras, J Cortadellas, J Soler-Soler
Unitat Coronària,
Servei de Cardiologia, Hospital General Vall d'Hebron, P Vall
d'Hebron 119-129, Barcelona 08035, Spain
Correspondence to: Dr Figueras email: jsoler@hg.vhebron.es
Accepted 8 February
2000
| The first 150 words of the full text of this article appear below. |
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Introduction |
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In patients with acute myocardial infarction, left ventricular free wall rupture is an infrequent complication (2-4%) but it is associated with a high mortality from pericardial tamponade.1-8 It accounts for 5-24% of all in hospital deaths related to acute myocardial infarction.4 6 9 10 To reduce this high mortality it is important to improve the way in which these patients are classified, as this may help clinicians anticipate myocardial rupture, prevent it occurring, and achieve better therapeutic results when it does occur. In this paper, we provide an update on the clinical, electrocardiographic, echocardiographic, and angiographic features of these patients, identifying the different forms in which free wall rupture presents. We also review the management of these cases and suggest a conservative strategy that may be applied successfully to a selected subgroup of patients.
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Clinical profile of patients with free wall rupture |
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The clinical characteristics of patients with free wall rupture
are summarised in table 1. Characteristically, free wall rupture
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